@layout("/common/_form.html",{js:["/assets/manager/flowMemberCouponActivity/flowMemberCouponActivity_edit.js"]}){

<form class="layui-form" id="flowMemberCouponActivityForm" lay-filter="flowMemberCouponActivityForm">
    <div class="layui-fluid" style="padding-bottom: 75px;">
        <div class="layui-card">
            <div class="layui-card-header">基本信息</div>
            <div class="layui-card-body">
                <div class="layui-form-item layui-row">
                    <input name="couponActivityId" type="hidden"/>

                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">活动标题<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input id="activityTitle" name="activityTitle" placeholder="请输入活动标题" type="text" class="layui-input" lay-verify="required" required/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">金额<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input id="price" name="price" placeholder="请输入金额" type="text" class="layui-input" lay-verify="required" required/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">过期天数<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input id="outDate" name="outDate" placeholder="-1或空不限制日期" type="text" class="layui-input" value="" lay-verify="required" required/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">满足使用金额<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input id="onprice" name="onprice" placeholder="请输入金额" type="text" value="0" class="layui-input" lay-verify="required" required/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">使用服务</label>
                        <div class="layui-input-block">
                            <select name="serviceType" id="serviceType" lay-filter="serviceType">

                            </select>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">活动类型</label>
                        <div class="layui-input-block">
                            <select name="activityType" id="activityType" lay-filter="activityType">
                                <option value="0">新人活动</option>
                                <option value="1">平台活动</option>
                            </select>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">状态</label>
                        <div class="layui-input-block">
                            <select name="status" id="status" lay-filter="status">
                                <option value="0">开启</option>
                                <option value="">关闭</option>
                            </select>
                        </div>
                    </div>
                </div>
            </div>
        </div>
    </div>
    <div class="form-group-bottom text-center">
        <button class="layui-btn" lay-filter="btnSubmit" lay-submit>&emsp;提交&emsp;</button>
        <button type="reset" class="layui-btn layui-btn-primary" ew-event="closeDialog">&emsp;取消&emsp;</button>
    </div>

</form>

@}